1. will know that this finding is expected in which condition?

A severe dehydration of patient Rex

2. When during assessment of the vaginal area of an adult client, the client tells the nurse that
she has had pain in her vaginal area. The nurse should further assess the client for
infection
3. Which is an example of health promotion?
Advise patient to go on a weight training program immediately after CS operation
4. This is required to attain effective communication
knowledge of the subject matter
5. After assessing the client, the nurse formulates the following diagnoses. Place them in order
of priority, with the most important (classified as high) listed first.
Ineffective airway clearance
6. An effective skin disinfection before a surgical procedure includes which of the following
methods?
Having the patient take a tub bath on the morning of surgery
7. It is the introduction of a solution by means of syringe and needle into the superficial layer of
the skin or just below the epidermis the skin.
Intradermal
8. Nurse educators prepares and distributes the following health education materials, except:
none of the following
9. While performing a gynecologic examination, the nurse observes small, painful, ulcer-like
lesions with red bases on the client’s labia. The nurse should refer the client to a physician for
possible
herpes simplex virus infection.
10. Sterile technique is used whenever?
Invasive procedures are performed
11. The following are the purpose of ophthalmic medication except:
To cleanse the eyes
12. The following are examples of health promotion except:
Treatment for TB
13. It is the deliberate and systematic collection of data and to determine current and past health
status, functional status, and to determine client’s present and coping pattern.
Health Assessment
14. Process by which an individual creates an inner drive to accomplish goals or objectives.
Motivation
15. The 75-year-old patient complains to the nurse that although she has cleaned her ears with
cotton-tipped applicators for weeks, she still can’t hear her TV unless it is turned up loud, and
she misses a great deal of conversations. On examination of the ears, the nurse anticipates
that there will be?
dry cerumen across the canal
16. To respect a client's personal space and territoriality. the nurse:
Keeps the curtains pulled around the clients bed
17. Giving BCG vaccine is an example of what route of giving medications?
Intradermal
18. It is the process by which vulnerabilities are identified and changes are made to minimize the
consequences of adverse patient outcomes and liability.
Risk Management
19. You have been instructed to administer oral medication (Ranitidine 150mg) to a patient.
What is the minimum of times the nurse should check the medication label before
administering this drug?
3
20. Which of the following is most important to check prior to administering a medication to a
patient?
Allergy status
21. .What period does greatest danger occurs when the drugs gets absorbed by the fetus?
1st trimester
22. Which of the following is NOT a small bone involved in hearing?
Meatus
23. The production of red blood cells in the bone marrow is called?
Hematopoiesis
24. The nurse is preparing to perform a speculum examination on an adult woman. To lubricate
the speculum before insertion, the nurse should use
warm tap water.
25. It includes lists and observations of patient’s name and data in a clear, concise, check-off
format for fast and immediate documentation.
flow sheet
26. Patient is admitted into the hospital and the doctor asked the nurse to obtain the patients vital
signs. The nurse knows that the best reason to check the patients vital signs is?
To obtain baseline data of the patient
27. The nurse is involved in requesting a management consultation for personnel-related issues.
Which of the following is true regarding the consultation process in which the nurse is
involved?
Consultation is often used when the exact problem remains unclear.
28. Health educators functions are the following, except:
designs and conducts evaluation and medical diagnostic studies to assess the quality and
performance of health education programs.
29. In measuring temperature, 37 degrees C is equal to how many degrees F?
98.6
30. 70-year-old woman has come for a health examination. Which of the following is a common
age- related change in the curvature of the spinal column?
kyphosis
31. The nurse is planning to test position sensation in an adult female client. To perform this
procedure, the nurse should ask the client to close her eyes while the nurse moves the client’s
toes up or down.
32. One of the assessments during interview to the patient is the health history. Patient Piolo
asked what is the purpose of health history, as a student nurse how will you answer?
Get subjective data about the patient
33. Which of the following nursing interventions are written correctly?
 Elevate head of bed 30 degrees before meals.
34. When all of the following are common signs and symptoms of phlebitis except:
Frank bleeding at the insertion site
35. Which among the following scopes of nursing is the nurse performing when the nurse
provides activities that is focused on limiting the chances of contracting diseases?
Disease prevention
36. Some scholars have long recognized this need as one of man’s most important needs
spiritual needs
37. Which of the four areas of Johari window that refer to the subject’s attributes that are
unknown to him but are known by his or her peers?
blind area
38. Known as the feeling of concern or worry about some anticipated event which seem to
involve some danger to the individual learning process such as assignments, and course
requirements, among others.
Anxiety
39. It is a lab test used to check stool samples for hidden (occult) blood. Occult blood in the stool
may indicate colon cancer or polyps in the colon or rectum - though not all cancers or polyps’
bleed.
fecal occult blood test (FOBT
40. Which of the following is an advantages of public health nursing?
all of the above
41. It is the administration of a substance for the diagnosis cure, treatment, relief or prevention of
diseases.
Medication
42. When developing a nursing care plan for a client with a fractured right tibia, the nurse
includes in the plan of care independent nursing interventions, including?
Elevate the leg 5 inches above the heart
43. The public health nurse who does Blood Pressure screening and related health education is
conducting activities in the level of
secondary prevention
44. This effectively increases the ability of the students to recognize the patient’s specific needs
in relation to the overall problem of the patient.
Stimuli
45. The process of enabling people to increase control over and to improve their health is known
as?
Health promotion
46. This stage continues to help survive the loss. An individual may feel like the world around
them is meaningless or overwhelming and their life make no sense.
Denial
47. When distributing stress management pamphlets and presenting a poster exhibit at a health
fair is an example of
information dissemination
48. Which of the following statements best reflects the nurse’s correct understanding of the
importance of selecting the optimum time for interviewing a client newly admitted to the
unit?
 “I have some questions to ask you regarding your admission history. I’ll be back once you
are settled in and comfortable.”
49. Words are not used, but rather more actions through signs, facial expressions, and other body
languages movements.
non-verbal communication
50. Patient X visits the clinic and tells the nurse that she has had “runny diarrhea” for 2 days. The
nurse should assess the client for
gastrointestinal infection
51. When all of the following statement are true about donning sterile gloves except?
The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling
the glove over the wrist
52. The most important factor in providing nursing care to clients in a specific ethnic group is:
Biological variation
53. In planning care for a child who has been diagnosed with a hearing impairment, and
considering the impact of a hearing deficit, the nursing diagnosis that would be appropriate
would be:
Risk for social isolation related to hearing impairment.
54. It is the administration of medication into the body tissues other than the alimentary tract.
Parenteral Medication
55. Patient Cindy just gave birth for a 7.5 pounds through vaginal delivery, as her student nurse
what would be the right response if she asked about the infants umbilical cord?
It will fall off in 10 to 14 days
56. the defined as the embodiment of the instructional process, and the instructional materials are
the means to which allows the method to be active, controlled and to give it shape.
Communication
57. Which of the following would be inappropriate to include when preparing a client for
magnetic resonance imaging (MRI) to evaluate a rupture disc?
Starting an intravenous line at keep-open rate
58. The nurse is educating a client diagnosed with type 2 diabetes, who is susceptible to foot
wounds, on how to minimize the risk for infection related to poor wound healing by not
being a susceptible host. The most appropriate suggestion would be to:
Eat well-balanced meals in order to provide the nutrients necessary for healing
59. Technique that enables you to verbally and nonverbally communicate in a way that makes
you agreeable and easy to understand.
active communication
60. A nurse is changing the dressing and accidentally drops the packing onto the client’s
abdomen. The client has a large, deep abdominal incision that is packed with sterile half-inch
packing and covered with a dry 4  4 gauze. The nurse should:
Throw the packing away, and prepare a new one
61. Which of the following procedures always requires surgical asepsis?
Urinary catheterization
62. You are performing a head to toe assessment on a client who is admitted on the general ward
due to intoxication. As a student nurse, you will place the client on a supine position. What
do you think is the sequence on checking the client?
 Inspection, palpation, percussion, auscultation
63. Which area of medication administration is most commonly neglected and is frequently the
subject of investigations by professional nursing regulatory bodies?
Record keeping
64. The neurological examination is an evaluation of a client’s nervous system that can be done
by a student nurse. It may be done with instruments which usually does not cause any pain
with the client. Below are some of the instrument but one is NOT
Speculum
65. One of the most common mistakes in administering IV medications is:
Administering the drug too quickly
66. This position provides easy access to and good exposure of the vaginal canal, easy insertion
of the suppository and allows suppository to dissolve without being dislodged.
Dorsal Recumbent
67. It improves the health status of individuals, families, communities, states, and the nation.
Health Promotion
68. Is a stimulus that causes man to act toward a particular objective where previously there was
little or no attraction to that objective (Bastable: 2004).
motivation
69. Known as the learning experiences that when combined, it will help individuals and
communities improve their health, by increasing their knowledge or influencing their
attitudes.
health education
70. In order to deliver quality care to a patient we must obtain ____.
Capacity
71. When administering medications through the use of IV Fluids is an example of what route of
administration?
Intravenous
72. This is known to be very integral in teaching and learning
Communication
73. Upon checking of the breast during inspection, it must be in symmetrical however, Gwen
noticed that her breasts had an increase of size. It may indicate?
Inflammation
74. When an 18 year old male client wants to start an exercise program, but he says he doesn't
have the time or money to attend a fitness club. The nurse recognizes the behavior-specific
cognitions and affect variable of
perceived barriers to action
75. What is used to minimize local skin irritation by sealing the medication in muscle tissue?
Z-track method
76. It is the deliberate arrangement of patient care activities and the sharing of information
among all stakeholders involved in the patient's care in order to ensure safer and more
effective treatment.
Coordination
77. While assessing the plantar reflex of an adult client, the nurse observes a positive Babinski
reflex. The nurse suspects that the client may be exhibiting signs of
drug intoxication.
78. A client enters a neighborhood walk-in clinic reporting the symptoms of “a head cold.” When
the health care provider does not prescribe an antibiotic, the client asks the nurse to explain
“why not.” The nurse’s most appropriate response is:
“Your health care provider believes in treating the symptoms since there are so many
different strains of the common cold.”
79. When an older patient went to his nephews wedding, he had a hard time hearing people talk.
He says that he has no difficulty hearing his wife when she talks to him at home but he
seemed to have more problems at the wedding reception. The nurse responds:
You most probably have a normal hearing change that occurs as we age.
80. When during reporting, the student nurse hears that a patient has hepatomegaly and
recognizes that this term refers to?
Enlarged Liver
81. Vital signs are the measurements taken to help assess the general physical health of a person.
What are the considered routinely monitored by a nurse?
Temperature, Pulse Rate, respiration rate, blood Pressure
82. The Glasgow Coma Scale measures the level of consciousness in clients who are at high risk
for rapid deterioration of the nervous system. A score of 13 indicates
some impairment.
83. The 75-year-old patient has age-related changes in his ear. These changes include all except:
otitis externa.
84. These are known to be traditional types of communication, except:
none of the choices
85. The nurse is working with a client who has recently had a colostomy and is having difficulty
using the provided supplies. The nurse works with the client to see which alternative supplies
are easier for the client to use. This is an example of the critical thinking strategy of:
Problem-solving
86. There is a broad census that priority should be given to clients with the greatest medical need
and greatest capacity to benefit from treatment. As a student nurse, your first concern will be,
EXCEPT
Be creative in giving instruction
87. Vaccination is example of what type of prevention?
Primary prevention
88. Which of the following is true statement of health promotion?
It is the process of enabling people to increase control over, and to improve their health
89. Generation X learners are surfers and scanners rather than readers and viewers. This means
that as a teacher, one should:
highlight key points
90. 62-year-old female client being treated for hypertension did not take her daily BP medication
over the weekend because she was out of medication and the pharmacy was closed. Her
average home blood pressure monitoring (HBPM) reading has been 130/82. Today her BP
has been 138/90, 135/85, and 142/86. She calls the on-call nurse for her health care provider.
What is the most appropriate thing for this nurse to advise this client?
To take the recommended daily dose of medication and call the health care provider if the
average of her HBPM readings increase/decrease by 10, or if she has any other concerns.
91. The client who has an indwelling catheter reports I need to urinate. Which of the following
interventions should the nurse perform?
Check to see whether the catheter is patent
92. This may limit the ability of schools to meet societal standards due to external pressures and
intense expectations which may weaken the system.
accountability movement
93. It is a clinical judgment about individual, family or community response to actual and
potential health problems.
Nursing Diagnosis
94. It is the demonstration of high level of personal, ethical and high levels of skill characteristics
for a member of profession.
Professionalism
95. Patient X is scheduled to have surgical removal of the tumor on her left breast. Which of the
following manifestation indicates that she is experiencing Mild Anxiety?
She has increased awareness of her environmental details
96. The process of helping people improve their health to reach optimal state of physical, mental
and social well-being.
Health Promotion
97. The client’s temperature at 8:00 am using an oral electronic thermometer is 36.1°C (97.2°F).
If the respiration, pulse, and blood pressure were within normal range, what would the nurse
do next?
Check what the client’s temperature was the last time it was taken.
98. It is the safe use of the body using the correct posture, bodily alignment, balance, and bodily
movements to safely bend, carry, lift and move objects and people.
Body Mechanics
99. This method includes computer learning and other ways giving instructions to students
without the usual classroom setting, such as teleconferencing or use of telephone techniques.
distance learning
100. Which of the following behaviors is most representative of the nursing diagnosis
phase of the nursing process?
Identifying major problems or needs
101.